BANCROFT NEUROHEALTH NPI 1720105570

NPI Information

  • NPI: 1720105570
  • Provider Name: BANCROFT NEUROHEALTH
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Former Legal Business Name: THE WALKER MEMORIAL TRAINING CENTER
  • Address: 3901 CONSHOHOCKEN AVE
    GREENBRIAR - #4311
    PHILADELPHIA, PA
    ZIP 19131
  • Phone: (215) 877-2373

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NPI Details

BANCROFT NEUROHEALTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BANCROFT NEUROHEALTH NPI is 1720105570. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Walker Memorial Training Center.

The provider's business location address is:

3901 CONSHOHOCKEN AVE
GREENBRIAR - #4311
PHILADELPHIA, PA
ZIP 19131-430
Phone: (215) 877-2373
Fax: (610) 747-0294

The provider's authorized official is Sharon E Williams-taylor .
The authorized official title is Senior Director and has the following contact phone number (610) 747-0290.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities135180PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========-0035MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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